Active NPI
Dr Lugenia Small LLC
- Mental Health Counselor
- Avon, OH
National Provider Identifier
1366033755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DR LUGENIA SMALL LLC
- Practice address
- 2394 Pendleton CT
Avon, OH 44011-2647 - Phone
- (609) 665-1102
- NPI assigned
- Jan 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lugenia Small
- Title
- Owner
- Phone
- (609) 665-1102
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2394 Pendleton CT
Avon, OH 44011-2647
Mailing address
2394 Pendleton CT
Avon, OH 44011-2647
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611878400000",
"number": "1366033755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2394 PENDLETON CT",
"city": "AVON",
"state": "OH",
"postal_code": "440112647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2394 PENDLETON CT",
"city": "AVON",
"state": "OH",
"postal_code": "440112647",
"telephone_number": "609-665-1102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR LUGENIA SMALL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-29",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A",
"authorized_official_last_name": "SMALL",
"authorized_official_first_name": "LUGENIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "609-665-1102"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.